KEVIN L WILLIAMS (NPI# 1225309545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225309545 |
| Entity Type | Individual |
| Full Name | KEVIN L WILLIAMS |
| Credential | CRNA |
| Practice Address |
1455 E Bert Kouns Loop Suite #100 Shreveport LA 71105-5634 |
| Practice Telephone | 3187984596 |
| Practice Fax Number | 3187984520 |
| Mailing Telephone | 3187984596 |
| Mailing Fax Number | 3187984520 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2013-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN134889 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TRICARE | 750818167015 | 01 |
| TX | BCBS | 8398UC | 01 |
| TX | 298034401 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639643885 | Kevin G Williams | Counselor | 4405 Largo Rd, Upper Marlboro, MD 20772-7837 | 2019-01-21 |
| 1881131464 | Kevin Christian Williams | Technician | 90 Gault Way, Sparks, NV 89431-2322 | 2017-01-20 |
| 1588071187 | Kevin Williams | Driver | 18625 Muirland St, Detroit, MI 48221-2202 | 2014-07-15 |
| 1790126910 | Kevin James Williams | Registered Nurse | 109 Peoney Creek Rd, Tonasket, WA 98855-9510 | 2013-07-16 |
| 1285978734 | Kevin Scott Williams | Occupational Therapy Assistant | 310 E Wardell Dr, Pembroke, NC 28372-7997 | 2012-11-22 |
| 1225381635 | Kevin John Williams I | Social Worker | 9783 Lisa St, Romulus, MI 48174-1593 | 2012-10-23 |
| 1588982235 | Kevin Williams | Dentist | 2710 Bramble Dr, Monroe, LA 71201-2321 | 2010-05-05 |
| 1023257979 | Kevin Michael Williams | Psychiatry & Neurology | 3737 Seminary Rd, Alexandria, VA 22304-5202 | 2009-02-17 |
| 1093952699 | Kevin D Williams | Massage Therapist | 810 Ne 106th St, 6, Seattle, WA 98125-7348 | 2009-01-20 |
| 1922264555 | Kevin Micahel Williams | Licensed Practical Nurse | 45 Priscilla Ave, Providence, RI 02909-3051 | 2008-08-04 |
| Street Address |
1455 E BERT KOUNS LOOP SUITE #100 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003810904 | Paul A Rushing | Internal Medicine | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2005-06-08 |
| 1679816672 | Christus Schumpert Health System | Internal Medicine | 1455 E Bert Kouns Loop, Suite # 202, Shreveport, LA 71105-5634 | 2013-03-28 |
| 1265752778 | Brooke Bailey Stokes | Nurse Practitioner | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2010-06-07 |
| 1700118510 | James W. Sikes, Jr. Dmd, Md, LLC | Oral & Maxillofacial Surgery | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2010-02-03 |
| 1063673424 | Carlton Gregory Houtz | Orthopaedic Surgery | 1455 E Bert Kouns Loop, Suite # 210, Shreveport, LA 71105-5634 | 2008-06-18 |
| 1235349812 | Meghan K. Harris | Psychiatry & Neurology | 1455 E Bert Kouns Loop, Suite # 109, Shreveport, LA 71105-5634 | 2007-05-23 |
| 1073738936 | Paula Nicole Spikes | Physician Assistant | 1455 E Bert Kouns Loop, #109, Shreveport, LA 71105-5634 | 2007-04-16 |
| 1952474926 | Nancy Elizabeth Pipkin | Physician Assistant | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2006-11-16 |
| 1861572349 | Ricky Lawayne Owers | Obstetrics & Gynecology | 1455 E Bert Kouns Loop, #300, Shreveport, LA 71105-5634 | 2006-10-17 |
| 1003829706 | Jennifer B Angelo | Physician Assistant | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728967 | Sarah Elizabeth Fitzhugh | Nurse Anesthetist, Certified Registered | 1500 Line Ave Ste 206, Shreveport, LA 71101-4649 | 2018-01-12 |
| 1013386507 | Kurvis Antione Davis | Nurse Anesthetist, Certified Registered | 367 Carrollton Ave, Shreveport, LA 71105-3205 | 2015-09-15 |
| 1134519044 | Comfort Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9423 Acadiana Place Blvd, Shreveport, LA 71115-3704 | 2015-01-29 |
| 1598066599 | Kristi Rae Hylan | Nurse Anesthetist, Certified Registered | 848 Gladstone Blvd, Shreveport, LA 71104-4202 | 2010-11-06 |
| 1366773400 | Michael Jeff Lewis | Nurse Anesthetist, Certified Registered | 905 Crescent Rd, Shreveport, LA 71107-3908 | 2010-01-28 |
| 1669611463 | Kimberly Leach Grantham | Nurse Anesthetist, Certified Registered | 1171 Pelican Creek Dr, Shreveport, LA 71106-8539 | 2009-02-18 |
| 1477734820 | Red River Anesthesia Services, A.p.m.c. | Nurse Anesthetist, Certified Registered | 3217 Mabel Street, Shreveport, LA 71103-4022 | 2007-11-14 |
| 1164638474 | Gary Cornell Wilkins | Nurse Anesthetist, Certified Registered | 5850 Yarbrough, Shreveport, LA 71119 | 2007-05-15 |
| 1588750319 | Curtis James Ardoin | Nurse Anesthetist, Certified Registered | 1 St Mary Place, Pfs- Professional Billing, Shreveport, LA 71101 | 2006-10-05 |
| 1609960111 | Andrea Cariere Leazer | Nurse Anesthetist, Certified Registered | 1 Saint Mary Place, Pfs-prof Billing, Shreveport, LA 71101 | 2006-10-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.